Individual
THOMAS A DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
11321 RAYNOR RD, SMITHFIELD, VA 23430-7856
(205) 500-0177
Mailing address
11321 RAYNOR RD, SMITHFIELD, VA 23430-7856
(205) 500-0177
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0001282142
VA
Other
Enumeration date
11/28/2021
Last updated
11/28/2021
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